KANIKA LANESE BAKER
Individual Provider (NPI-1)
Active
Prosthetic/Orthotic Supplier
Provider Information
- NPI Number
1619578648- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 7240 BROOKLYN BLVD STE 150, BROOKLYN PARK, MN, 554291274
- Phone
- (888) 507-6235
Specialties & Taxonomies
Prosthetic/Orthotic Supplier
Primary License: MN #18438613